Organization Active NPI

Aesthetic Eye Associates, PS

Doing business as Allure Laser Center & Medispa

  • Ambulatory Surgical Clinic/Center
  • Kirkland, WA
National Provider Identifier
1023043445
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
ASF.FS.60099157 Issued in WA
Legal business name
AESTHETIC EYE ASSOCIATES, PS
Doing business as
Allure Laser Center & Medispa
Practice address
625 4TH Ave
Suite 301
Kirkland, WA 98033-9028
Phone
(425) 216-7200
Fax
(425) 216-7272
NPI assigned
Jul 12, 2006
Last updated
Nov 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Steven J Laukaitis, MDNPI 1669407086
Title
Medical Director/Ceo
Phone
(425) 216-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X
Ambulatory Surgical Clinic/Center 261QA1903X ASF.FS.60099157 WA Primary

Addresses

Primary practice location

625 4TH Ave
Suite 301
Kirkland, WA 98033-9028

Mailing address

625 4TH Ave
Suite 301
Kirkland, WA 98033-9028
Phone (425) 216-7200

Other identifiers 2

IdentifierTypeStateIssuer
7121049MedicaidWA
GAB36305OtherWAPTAN

Other names 1

  • Allure Laser Center & Medispa Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040406000658 WA Part B Supplier - Clinic/Group Practice 5991798902 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Bellevue, WA; Kirkland, WA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Aesthetic Eye Associates PSCCN 50C0001089
Medicare certification status
Terminated Voluntary: merger or closure, Jun 19, 2024From the Provider of Services file

National Provider Directory

National Provider Directory

Locations

311 Commercial Ave Ste 105
Anacortes, WA 98221

3110 Commercial Ave
Ste 105
Anacortes, WA 98221
Phone (360) 336-3026

218 Main St
Kirkland, WA 98033
Phone (201) 615-7091

625 4th Ave
Ste 303
Kirkland, WA 98033
Phone (425) 216-7280

622 S 36th Ave
Yakima, WA 98902
Phone (509) 824-6287

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1023043445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 4TH AVE",
            "address_2": "SUITE 301",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980339028",
            "telephone_number": "425-216-7200",
            "fax_number": "425-216-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 4TH AVE",
            "address_2": "SUITE 301",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980339028",
            "telephone_number": "425-216-7200",
            "fax_number": "425-216-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC EYE ASSOCIATES, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "LAUKAITIS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/CEO",
        "authorized_official_telephone_number": "425-216-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "ASF.FS.60099157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7121049",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "GAB36305",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allure Laser Center & Medispa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.